SpyGlass Cholangioscopy-assisted Guidewire Placement for Post-LDLT Biliary Strictures: a Case Series

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2015 Dec 20

PMID 26684207

Citations 25

Authors

Young Sik Woo

Jong Kyun Lee

Dong Hyo Noh

Joo Kyung Park

Kwang Hyuck Lee

Kyu Taek Lee

Affiliations

Soon will be listed here.

Abstract

Background And Aims: Anastomotic biliary strictures are common in patients that undergo living donor liver transplantation. Although endoscopic management has the advantage over percutaneous approaches, the initial success rate for the endoscopic management is unsatisfactory. The SpyGlass system can be a useful device in patients with a severe anastomotic stricture.

Methods: The SpyGlass cholangioscopy-assisted guidewire placement was performed in 15 patients with a difficult guidewire placement in which the guidewire could not transverse the stricture with conventional methods for 10 min or more.

Results: The visualization rate of the stricture orifice was 93.3 % (14 of 15 patients). The total success rate of the SpyGlass cholangioscopy-assisted guidewire placement was 60 % (9 of 15 patients). No procedure-related complications occurred during or after the SpyGlass cholangioscopy-assisted guidewire placement.

Conclusions: This series demonstrated that the SpyGlass cholangioscopy-assisted guidewire placement is a useful method when the guidewire passage of the strictures site is impossible by conventional methods.

Citing Articles

Innovative use of a 3-Fr microcatheter for precision guidewire placement with digital single-operator cholangioscopy for pancreaticobiliary drainage (with video).

Adachi A, Yoshida M, Hori Y, Kato A, Kachi K, Sahashi H Sci Rep. 2024; 14(1):30647.

PMID: 39730389 PMC: 11680699. DOI: 10.1038/s41598-024-75692-8.

Evaluating the yield of digital single operator cholangioscopy in posttransplant biliary strictures after unsuccessful guidewire placement with ERCP.

Ng J, Chandran S, Be K, Zorron Cheng Tao Pu L, Choi K, Saxena P JGH Open. 2024; 8(10):e13112.

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Anastomotic biliary stricture after orthotopic liver transplantation: what can we propose after failure of classic ERCP technique to cannulate the stricture?.

Mayer P, Christmann P, Heroin L, Habersetzer F Endoscopy. 2024; 56(S 01):E150-E152.

PMID: 38359886 PMC: 10869220. DOI: 10.1055/a-2248-6398.

Safety and feasibility of a novel recanalization technique using guidewire puncture under cholangioscopy for complete biliary stricture after liver transplantation.

Zhang W, Sun H, Dong D, Li Y Sci Rep. 2023; 13(1):4874.

PMID: 36966204 PMC: 10039916. DOI: 10.1038/s41598-023-31475-1.

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PMID: 36406028 PMC: 9671672. DOI: 10.1055/s-0042-1757343.

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